
Muscle sprains are common but painful injuries that can often be treated at home. However, severe tears may require medical care or surgery. Treatment for muscle sprains involves a combination of first aid, rest, ice, compression, and elevation (R.I.C.E.), as well as crutches, physical therapy, and surgery in some cases. It is important to seek medical attention, especially for severe sprains, to reduce the risk of complications and promote full recovery. Older people, athletes, and individuals engaging in certain sports or activities are more susceptible to sprains and strains.
How to Treat a Muscle Sprain
| Characteristics | Values |
|---|---|
| First Steps | First aid, rest, ice, compression, elevation (R.I.C.E) |
| Next Steps | Crutches, physical therapy, gentle movement, specific exercises |
| Severe Cases | Surgery |
| General Advice | Lose weight, listen to your body, give your muscles time to heal |
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What You'll Learn

Rest, ice, compression, and elevation (RICE)
RICE is an acronym for a type of treatment that involves Rest, Ice, Compression, and Elevation. It was developed by sports medicine physician Gabe Mirkin, MD, and outlined in The Sports Medicine Book in 1978. It is designed to reduce pain and swelling and speed up the healing process.
Rest
Rest involves avoiding the use of the injured area. This may include the use of splints, braces, canes, or crutches to keep weight off the injured area.
Ice
Ice or cold packs are applied to the injured area to reduce pain and swelling. It is important to note that ice should not be applied directly to the skin.
Compression
Compression involves wrapping the injured area with an elastic bandage to provide support, reduce blood flow, and limit swelling. It is important to wrap the bandage tightly enough to provide support without cutting off blood flow.
Elevation
Elevation involves keeping the injured area raised above the level of the heart to reduce swelling and associated pain and discomfort. This is done by keeping the injured area higher than the heart, typically for 2-3 hours a day.
The RICE method is typically recommended for the first 48 to 72 hours following a mild or moderate soft-tissue injury, such as a sprain, strain, or pulled muscle. However, there is some controversy surrounding the use of rest and ice, with some experts suggesting that movement and alternative treatments may be more effective in certain cases.
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Physical therapy
Before beginning physical therapy, it is important to rest the affected muscle and allow it to heal. This may involve immobilizing the area with a splint or brace for a few weeks. Ice therapy can also be used to reduce swelling, inflammation, and pain. It is recommended to apply ice to the strained area for about 15 to 20 minutes every two to three hours, especially in the first 48 to 72 hours after the injury.
Once the initial inflammation has subsided, physical therapy can begin. The physical therapist will design a treatment plan tailored to your specific injury and may include specialized exercises, manual therapy, and other treatments. They will guide you through progressive functional exercises to improve your muscle strength and flexibility. It is important to start with light stretches and easy activities, gradually reintroducing activities as your muscle recovers.
The duration of physical therapy will depend on the severity of your muscle sprain. Most muscle sprains will heal within a few weeks to a few months with appropriate treatment and therapy. However, severe sprains may take longer to recover, and it is important to follow your healthcare provider's advice to ensure a smooth recovery and prevent further injury.
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Surgery
It is important to note that surgery is typically a last resort and less invasive treatment methods are usually attempted first. For example, initial treatment for a sprain typically follows the RICE protocol, which stands for rest, ice, compression, and elevation. Additionally, platelet-rich plasma injections, a newer treatment that uses platelets from the patient's own blood to stimulate tissue repair, may be considered before surgery.
If non-surgical treatments are ineffective or if the injury is severe, surgery may be recommended. After surgery, significant treatment is required to regain strength and function in the affected area. Physical therapy plays a crucial role in the rehabilitation process, helping to reintroduce gentle movement and specific exercises to aid in muscle recovery.
In some cases, muscle sprains can lead to nerve damage, affecting nearby nerves and resulting in symptoms such as numbness, tingling, or weakness. Severe sprains can also cause joint instability, making the joint more prone to future injuries or dislocations. Therefore, proper treatment, rehabilitation, and preventive measures are essential to reduce the risk of complications and promote full recovery.
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Platelet-rich plasma injections
Platelet-rich plasma (PRP) injections are a newer treatment option for muscle sprains. The procedure involves drawing blood from the patient, which is then placed in a centrifuge to separate the blood into its various components. The red blood cells are discarded, and what remains is a mixture of plasma and a high concentration of platelets. This concentration of platelets is then injected into the injured area to accelerate the healing process.
PRP injections are considered safe and low-risk, with minimal side effects. The most common side effects are discomfort, pain, and stiffness at the injection site. Since PRP is derived from the patient's own blood, there is no risk of rejection or disease transmission. The procedure can be performed in a doctor's office and typically takes less than an hour.
PRP injections have been shown to be effective in treating various conditions, including muscle, tendon, ligament, and cartilage injuries. They can also be used to treat degenerative conditions such as osteoarthritis. In addition, PRP injections can help alleviate pain, improve mobility, and decrease inflammation. The increased concentration of growth factors in PRP may stimulate and speed up the healing process, reducing healing time and enabling a faster return to activities.
While PRP injections have shown promising results, it is important to note that this procedure is still considered investigational and has not been officially approved by the FDA for most uses. However, due to its potential benefits, PRP injections are gaining popularity, especially in sports medicine and orthopaedics.
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Over-the-counter pain medication
Over-the-counter (OTC) pain medication can be purchased without a prescription and is an effective way to treat muscle sprains. The right choice of pain medication depends on the type of pain and your health. It is important to always read the labels and discuss any questions or concerns about dosage, safety, or prescription interactions with a doctor or pharmacist.
Acetaminophen (Tylenol) is a common OTC pain reliever that can be used to treat mild to moderate pain, such as headaches, muscle aches, and fevers. It is safe for most people, including pregnant women and children, and is less likely to cause stomach irritation compared to other pain relievers. However, it is important not to exceed the recommended dosage, as taking too much acetaminophen can harm the liver.
Non-steroidal anti-inflammatory drugs (NSAIDs) are another type of OTC pain medication that includes aspirin, ibuprofen (Advil, Motrin), and naproxen (Aleve, Naprosyn). NSAIDs are effective in reducing pain, fever, and inflammation. Ibuprofen is often recommended for sore muscles and is less likely to irritate the stomach compared to aspirin. Naproxen is one of the most powerful anti-inflammatory pain relievers available without a prescription and can last up to twelve hours. However, NSAIDs should not be taken for longer than 10 days without consulting a doctor, and they may not be suitable for individuals with certain medical conditions, such as heart disease or kidney disease.
Topical medications, such as creams and gels, are also available OTC for muscle sprains. Products containing menthol, camphor, or lidocaine can help numb the pain in joints and muscles. Capsaicin creams and patches can also be used to decrease the sensation of pain at the site of the injury. Diclofenac gel (Voltaren Arthritis Pain) is another option for managing pain and reducing inflammation and swelling. These topical treatments can be applied directly to the affected area to provide targeted pain relief.
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